Organization
COUNSELING ASSOCIATES OF DOOR COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G NICK MSE, LCSW (CLINIC OWNER)
(920) 743-9554
Entity
Organization
Contact information
Practice address
620 N 12TH AVE, STURGEON BAY, WI 54235-1249
(920) 743-9554
(920) 743-1591
Mailing address
PO BOX 873, STURGEON BAY, WI 54235-0873
(920) 559-7482
(920) 743-1591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1250
WI
101Y00000X
Counselor
2924-125
WI
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42176400
—
WI
Enumeration date
02/20/2006
Last updated
02/07/2023
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